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Updated: Dec 25, 2025

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Cut to Air.

Mary Scott-Herring1, Ionela Morosanu2, Jason Bates3

  • 1is a CRNA manager, Clinical Education and Professional Development, at the University of Maryland Medical Center, Baltimore, Maryland.

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|April 3, 2020
PubMed
Summary
This summary is machine-generated.

Certified Registered Nurse Anesthetists (CRNAs) improved emergency cricothyrotomy skills through simulation. Practicing this critical airway procedure significantly boosted CRNA speed, performance, and confidence in managing cannot ventilate, cannot intubate events.

Keywords:
Airway managementcannot ventilate/cannot intubatecricothyrotomydifficult airwayemergency surgical airway

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Area of Science:

  • Anesthesiology
  • Emergency Medicine
  • Surgical Skills Training

Background:

  • The

Purpose of the Study:

  • To evaluate the effectiveness of simulation in improving Certified Registered Nurse Anesthetists' (CRNAs) emergency cricothyrotomy skills.
  • To assess the impact of simulation on CRNA confidence and performance speed in surgical airway management.

Main Methods:

  • Forty-three CRNAs performed emergency cricothyrotomies on a manikin using three different techniques.
  • Technique selection, performance time, and confirmation of placement were recorded.
  • CRNA confidence levels were measured pre- and post-simulation.

Main Results:

  • All but one CRNA successfully completed the cricothyrotomy in under 2 minutes.
  • The scalpel/bougie/endotracheal tube technique was the fastest, averaging 86.6 seconds.
  • Simulation significantly increased CRNA confidence in performing cricothyrotomy (P ≤ .001).

Conclusions:

  • Simulation is a valuable tool for developing and maintaining emergency surgical airway skills among CRNAs.
  • Improved performance, speed, and confidence were observed after simulation training.
  • Simulation addresses variability in anesthesia training for critical airway procedures.